| Vitae Health Of Illinois Llc | |
|
3450 Oakton St Skokie IL 60076 | |
| (224) 777-8034 | |
| (224) 236-4900 |
| Full Name | Vitae Health Of Illinois Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3450 Oakton St, Skokie, Illinois |
| Authorized Official Name and Position | Arun Kumar (MANAGER) |
| Authorized Official Contact | 2247778045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitae Health Of Illinois Llc 3450 Oakton St Skokie IL 60076-2951 Ph: (224) 777-8034 | Vitae Health Of Illinois Llc 3450 Oakton St Skokie IL 60076 Ph: (224) 777-8034 |
| NPI Number | 1174013452 |
|---|---|
| Provider Enumeration Date | 05/13/2018 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Medicare PECOS PAC ID | 2365798410 |
|---|---|
| Medicare Enrollment ID | O20180703002838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174013452 | NPI | - | NPPES |
| Provider Name | Robert S Glick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982742920 PECOS PAC ID: 8224934336 Enrollment ID: I20031210000112 |
| Provider Name | Mary J Graden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861792426 PECOS PAC ID: 3779578034 Enrollment ID: I20040416000363 |
| Provider Name | Moeed Ekbal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932285509 PECOS PAC ID: 4587650650 Enrollment ID: I20040423000189 |
| Provider Name | Jane A Piraino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457412124 PECOS PAC ID: 2668454117 Enrollment ID: I20040607001079 |
| Provider Name | Annie W Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710185764 PECOS PAC ID: 7113989294 Enrollment ID: I20041101000566 |
| Provider Name | Elyn D Mulder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730146960 PECOS PAC ID: 6800847153 Enrollment ID: I20050204000016 |
| Provider Name | Nancy V Wilens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275580953 PECOS PAC ID: 2365494994 Enrollment ID: I20050617000305 |
| Provider Name | Lori Ann Sutherland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134135619 PECOS PAC ID: 2163443508 Enrollment ID: I20051213000413 |
| Provider Name | Joslyn K Jelinek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679555312 PECOS PAC ID: 2163428293 Enrollment ID: I20061023000408 |
| Provider Name | Sohel Majeed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417068495 PECOS PAC ID: 4789660945 Enrollment ID: I20061026000211 |
| Provider Name | Alexander Yanovskiy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992724488 PECOS PAC ID: 7113020793 Enrollment ID: I20070320000437 |
| Provider Name | Jennifer Edens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427065200 PECOS PAC ID: 1355430315 Enrollment ID: I20071129000231 |
| Provider Name | Maria E Onak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700074754 PECOS PAC ID: 0941390405 Enrollment ID: I20071220000365 |
| Provider Name | Sujata H Gur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467633115 PECOS PAC ID: 8921198490 Enrollment ID: I20071220000398 |
| Provider Name | Patricia M Mcdougall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326252685 PECOS PAC ID: 8426139155 Enrollment ID: I20080118000340 |
| Provider Name | Jazzcelyn Schertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811172836 PECOS PAC ID: 1557445939 Enrollment ID: I20080223000029 |
| Provider Name | Marie A Danley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891993010 PECOS PAC ID: 6709963424 Enrollment ID: I20080404000727 |
| Provider Name | Anne A Gephart Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780686857 PECOS PAC ID: 5698847168 Enrollment ID: I20080630000071 |
| Provider Name | Melanie Marie Amin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407057581 PECOS PAC ID: 6709958713 Enrollment ID: I20080709000151 |
| Provider Name | John D Mazzarella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780748319 PECOS PAC ID: 3375619778 Enrollment ID: I20080909000507 |
| Provider Name | Bernadette A Hudetz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134385792 PECOS PAC ID: 9830266352 Enrollment ID: I20080925000563 |
| Provider Name | Elizabeth M Wengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144469917 PECOS PAC ID: 5698831071 Enrollment ID: I20090310000474 |
| Provider Name | Susan M Giacchino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104845833 PECOS PAC ID: 1850448184 Enrollment ID: I20090402000433 |
| Provider Name | Kristin Elise Weeks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407156904 PECOS PAC ID: 9234319864 Enrollment ID: I20110214000655 |
| Provider Name | Suzanne Marie Heinzl Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851695027 PECOS PAC ID: 9133303563 Enrollment ID: I20110411000064 |
| Provider Name | Wendy Marie Vankeulen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326344284 PECOS PAC ID: 1850577529 Enrollment ID: I20110513000087 |
| Provider Name | Christina Irmgard Alexakos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265731533 PECOS PAC ID: 2062699648 Enrollment ID: I20110608000162 |
| Provider Name | Dori G Duckworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619260932 PECOS PAC ID: 9638339955 Enrollment ID: I20120323000491 |
| Provider Name | Ruta Savickiene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902181407 PECOS PAC ID: 2860652104 Enrollment ID: I20120324000062 |
| Provider Name | Mary P Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982980124 PECOS PAC ID: 2961663711 Enrollment ID: I20120423000287 |
| Provider Name | Adaku Ngozika Madubuko |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649569948 PECOS PAC ID: 1456513555 Enrollment ID: I20120508000168 |
| Provider Name | Marie R Carcellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659656486 PECOS PAC ID: 8628232220 Enrollment ID: I20120612000112 |
| Provider Name | Dragan Colic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942494059 PECOS PAC ID: 1052575321 Enrollment ID: I20120618000402 |
| Provider Name | Anna Sarenac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134491137 PECOS PAC ID: 2466616651 Enrollment ID: I20120620000329 |
| Provider Name | Soyoung C Kwon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093087363 PECOS PAC ID: 9133370737 Enrollment ID: I20121107000648 |
| Provider Name | Andrea L Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629328984 PECOS PAC ID: 1355595596 Enrollment ID: I20130215000528 |
| Provider Name | Katarzyna A Koziol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710222344 PECOS PAC ID: 9234384918 Enrollment ID: I20130302000005 |
| Provider Name | Tracy C Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245575042 PECOS PAC ID: 2062657034 Enrollment ID: I20130321000379 |
| Provider Name | Okechi U Odoka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174860498 PECOS PAC ID: 1850536301 Enrollment ID: I20130404000113 |
| Provider Name | Annell S Tucker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669784971 PECOS PAC ID: 5991942781 Enrollment ID: I20130515000491 |
| Provider Name | Jennifer D Swensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194160333 PECOS PAC ID: 0244479343 Enrollment ID: I20130621000312 |
| Provider Name | Eric R Onsgard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043566094 PECOS PAC ID: 6103069067 Enrollment ID: I20130826000715 |
| Provider Name | Sophia N Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568497162 PECOS PAC ID: 5092940205 Enrollment ID: I20131024000399 |
| Provider Name | Taryn T Shelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063840619 PECOS PAC ID: 6204063100 Enrollment ID: I20131223000757 |
| Provider Name | Sharron L Mckee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033547914 PECOS PAC ID: 9032346945 Enrollment ID: I20131223001031 |
| Provider Name | Veronique E Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437406592 PECOS PAC ID: 9032332622 Enrollment ID: I20140529001355 |
| Provider Name | Lin Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982045852 PECOS PAC ID: 8426271990 Enrollment ID: I20140602001643 |
| Provider Name | Denika S Mcmillen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174930077 PECOS PAC ID: 9335365147 Enrollment ID: I20140730001741 |
| Provider Name | Donna Kaye Livesey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356756530 PECOS PAC ID: 3678791399 Enrollment ID: I20140821001713 |
| Provider Name | Kristin Lynn King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508264292 PECOS PAC ID: 2365767050 Enrollment ID: I20150223000889 |
| Provider Name | Lasheah M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114318136 PECOS PAC ID: 7012234784 Enrollment ID: I20150318001743 |
| Provider Name | Zivile Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083005268 PECOS PAC ID: 1153648134 Enrollment ID: I20150401001053 |
| Provider Name | Thelma M Holt Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265830442 PECOS PAC ID: 5092033613 Enrollment ID: I20150410002269 |
| Provider Name | John B Corso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356730576 PECOS PAC ID: 7214249135 Enrollment ID: I20150707001955 |
| Provider Name | Zareena Yasmeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588047310 PECOS PAC ID: 4385957703 Enrollment ID: I20150714002260 |
| Provider Name | Silvia Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053724161 PECOS PAC ID: 3678886926 Enrollment ID: I20150716000775 |
| Provider Name | Jamal S Jailawi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487930673 PECOS PAC ID: 7416261714 Enrollment ID: I20150730012804 |
| Provider Name | Cynthia L Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992171326 PECOS PAC ID: 9830405745 Enrollment ID: I20150908001789 |
| Provider Name | Diana Kotis Harber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609136100 PECOS PAC ID: 3577870856 Enrollment ID: I20150918001164 |
| Provider Name | Patricia A Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003285032 PECOS PAC ID: 1153630389 Enrollment ID: I20151028002877 |
| Provider Name | David N Gershan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770830275 PECOS PAC ID: 0547570681 Enrollment ID: I20151102002470 |
| Provider Name | Valencia Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306182753 PECOS PAC ID: 2769622539 Enrollment ID: I20151110001737 |
| Provider Name | Debra L Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902278112 PECOS PAC ID: 1759684491 Enrollment ID: I20160129000845 |
| Provider Name | Tiffany Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962874032 PECOS PAC ID: 5496059784 Enrollment ID: I20160208000102 |
| Provider Name | Victor C Okamgba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629434741 PECOS PAC ID: 8628372711 Enrollment ID: I20160210001753 |
| Provider Name | Meegan L Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235536822 PECOS PAC ID: 2264737725 Enrollment ID: I20160219001978 |
| Provider Name | Oluseun Osinowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548614431 PECOS PAC ID: 6507164803 Enrollment ID: I20160420001307 |
| Provider Name | Lady Ariane Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407254337 PECOS PAC ID: 0143519884 Enrollment ID: I20160518002542 |
| Provider Name | Catherine Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841649480 PECOS PAC ID: 5799076519 Enrollment ID: I20160624000538 |
| Provider Name | Ljiljana Radovanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194180224 PECOS PAC ID: 1254623473 Enrollment ID: I20160708001323 |
| Provider Name | Rebecca M Feiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154787182 PECOS PAC ID: 4183918469 Enrollment ID: I20160809002349 |
| Provider Name | Alice Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093268609 PECOS PAC ID: 9032404504 Enrollment ID: I20160823001101 |
| Provider Name | Dorothea Swiderska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790134039 PECOS PAC ID: 4880980820 Enrollment ID: I20160831000851 |
| Provider Name | Samir Bhalla |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922365170 PECOS PAC ID: 2466685698 Enrollment ID: I20160923000469 |
| Provider Name | Amit Gandhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548711971 PECOS PAC ID: 1850679267 Enrollment ID: I20161104001108 |
| Provider Name | Amy Pawlowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457528747 PECOS PAC ID: 7214109446 Enrollment ID: I20161108000880 |
| Provider Name | Neelie Panozzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174976286 PECOS PAC ID: 8820377872 Enrollment ID: I20161115000001 |
| Provider Name | Abigail Sibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295284750 PECOS PAC ID: 6103105911 Enrollment ID: I20161118001802 |
| Provider Name | Kristine R Donaldson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790089548 PECOS PAC ID: 5294015715 Enrollment ID: I20161129001107 |
| Provider Name | Jana L Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801345160 PECOS PAC ID: 8224318324 Enrollment ID: I20161207001146 |
| Provider Name | Pamela Basas Malda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891238200 PECOS PAC ID: 1557641529 Enrollment ID: I20161208001092 |
| Provider Name | Isabell Ciszewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447655733 PECOS PAC ID: 3678854056 Enrollment ID: I20161222000992 |
| Provider Name | Tatjana Solar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841644507 PECOS PAC ID: 7517248883 Enrollment ID: I20161228000246 |
| Provider Name | Philomina K Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447793203 PECOS PAC ID: 1850674300 Enrollment ID: I20170208001404 |
| Provider Name | Lori Ann Moton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154878098 PECOS PAC ID: 1658654660 Enrollment ID: I20170216001024 |
| Provider Name | Nicole M Lovett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760933311 PECOS PAC ID: 6204119167 Enrollment ID: I20170220001813 |
| Provider Name | Jodie L Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073065140 PECOS PAC ID: 5890079651 Enrollment ID: I20170223001227 |
| Provider Name | Ruchi Savani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013464304 PECOS PAC ID: 1850675125 Enrollment ID: I20170306000741 |
| Provider Name | Cassandra Waramit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235675091 PECOS PAC ID: 6709160807 Enrollment ID: I20170309002342 |
| Provider Name | Hina H Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760932867 PECOS PAC ID: 7315222965 Enrollment ID: I20170321002405 |
| Provider Name | Cailian Mo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285172643 PECOS PAC ID: 5597040832 Enrollment ID: I20170328002378 |
| Provider Name | Dena R Verderame |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255635835 PECOS PAC ID: 9032495866 Enrollment ID: I20170411000461 |
| Provider Name | Bradley Adam Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396160990 PECOS PAC ID: 7618279985 Enrollment ID: I20170419002423 |
| Provider Name | Roshini James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760938120 PECOS PAC ID: 8729365457 Enrollment ID: I20170508001115 |
| Provider Name | Joan Fadonugbo-kuton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528508678 PECOS PAC ID: 5799052023 Enrollment ID: I20170517000768 |
| Provider Name | Karen J Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114463502 PECOS PAC ID: 5698042489 Enrollment ID: I20170526001513 |
| Provider Name | Alla Yakovleva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063876175 PECOS PAC ID: 8224305966 Enrollment ID: I20170530001942 |
| Provider Name | Laura J Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699148130 PECOS PAC ID: 8325349459 Enrollment ID: I20170609002035 |
| Provider Name | Ireen Evangelista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447704135 PECOS PAC ID: 2163791674 Enrollment ID: I20170627000138 |
| Provider Name | Jenna M Rawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669761441 PECOS PAC ID: 5991014755 Enrollment ID: I20170720002441 |
| Provider Name | Patricia Marchman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821528555 PECOS PAC ID: 5698048791 Enrollment ID: I20170912003066 |
| Provider Name | Stacy Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538597828 PECOS PAC ID: 5890051536 Enrollment ID: I20171113001296 |
| Provider Name | Nicole M Welnowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548771595 PECOS PAC ID: 5991061657 Enrollment ID: I20171113002417 |
| Provider Name | Kamilla Krystyna Kawecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821500398 PECOS PAC ID: 7214293992 Enrollment ID: I20171113003131 |
| Provider Name | Hope Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457702094 PECOS PAC ID: 6406112994 Enrollment ID: I20171116001640 |
| Provider Name | Kathryn Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528579760 PECOS PAC ID: 2062778483 Enrollment ID: I20171117000145 |
| Provider Name | Priti K Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409937 PECOS PAC ID: 1052678125 Enrollment ID: I20171127003247 |
| Provider Name | Alexis R Graven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346753738 PECOS PAC ID: 0648537118 Enrollment ID: I20171208001480 |
| Provider Name | Elizabeth Myunghee Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235641804 PECOS PAC ID: 9739447814 Enrollment ID: I20171219000460 |
| Provider Name | Nancy Sarudzayi Kinyanjui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023524485 PECOS PAC ID: 9234498361 Enrollment ID: I20180118001920 |
| Provider Name | Mona J Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104343599 PECOS PAC ID: 7416217864 Enrollment ID: I20180205001319 |
| Provider Name | Carolyn Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487166948 PECOS PAC ID: 4486914454 Enrollment ID: I20180213000130 |
| Provider Name | Amit S Parkhe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538676424 PECOS PAC ID: 9335400902 Enrollment ID: I20180221002533 |
| Provider Name | Julie Lynn Barclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891206892 PECOS PAC ID: 6406117837 Enrollment ID: I20180228001137 |
| Provider Name | Lauren M Rosenfeldt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699802363 PECOS PAC ID: 6800157132 Enrollment ID: I20180302000257 |
| Provider Name | Sonia Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144738444 PECOS PAC ID: 5395008197 Enrollment ID: I20180409001806 |
| Provider Name | Beverly A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891203956 PECOS PAC ID: 7810250644 Enrollment ID: I20180410000089 |
| Provider Name | Emmy Majogo-farhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215432315 PECOS PAC ID: 2264795764 Enrollment ID: I20180416001869 |
| Provider Name | Fabienne N Witherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053734004 PECOS PAC ID: 6305144932 Enrollment ID: I20180529002423 |
| Provider Name | Krys Elan A Cagas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346746591 PECOS PAC ID: 6901161488 Enrollment ID: I20180604002727 |
| Provider Name | James R Hallberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518373281 PECOS PAC ID: 6709131659 Enrollment ID: I20180615002412 |
| Provider Name | Mary Murad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770070013 PECOS PAC ID: 1254689219 Enrollment ID: I20180807003532 |
| Provider Name | Hasmine H Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205328879 PECOS PAC ID: 3678821519 Enrollment ID: I20180808003169 |
| Provider Name | Paulina Petrishka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952828980 PECOS PAC ID: 6305195892 Enrollment ID: I20180816000909 |
| Provider Name | Angellie Pheap Dam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376032250 PECOS PAC ID: 8820348428 Enrollment ID: I20180831000875 |
| Provider Name | K-shayla Lafayette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558889188 PECOS PAC ID: 9830440700 Enrollment ID: I20180918000106 |
| Provider Name | Laura R Walther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326538075 PECOS PAC ID: 7810249679 Enrollment ID: I20181008000328 |
| Provider Name | Anna Ingrid Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285118356 PECOS PAC ID: 8921351602 Enrollment ID: I20181025002568 |
| Provider Name | Jennifer M Renzas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225512759 PECOS PAC ID: 2668725961 Enrollment ID: I20181105000316 |
| Provider Name | Ngozi V Ubaghara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821583899 PECOS PAC ID: 1557592748 Enrollment ID: I20181115001497 |
| Provider Name | Diane Kral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376902908 PECOS PAC ID: 0143564468 Enrollment ID: I20181127002662 |
| Provider Name | Nisha Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710425699 PECOS PAC ID: 7911278247 Enrollment ID: I20181129002123 |
| Provider Name | Christina N High |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730664053 PECOS PAC ID: 9638413156 Enrollment ID: I20181210001831 |
| Provider Name | Chelsey Lesniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518434463 PECOS PAC ID: 1759626161 Enrollment ID: I20181212003361 |
| Provider Name | Dolorita Onguru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831664127 PECOS PAC ID: 7618212358 Enrollment ID: I20181227000719 |
| Provider Name | Karolyn Gayle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134610942 PECOS PAC ID: 6901143577 Enrollment ID: I20190122001006 |
| Provider Name | Lizann Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144791781 PECOS PAC ID: 2769727254 Enrollment ID: I20190128000693 |
| Provider Name | Eniola Oshodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093286643 PECOS PAC ID: 2668719725 Enrollment ID: I20190128001427 |
| Provider Name | Shashanna Heard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669967543 PECOS PAC ID: 5698013084 Enrollment ID: I20190211000296 |
| Provider Name | Nikita Sarath Gummadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770057440 PECOS PAC ID: 8729326954 Enrollment ID: I20190214000917 |
| Provider Name | Krina D Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386114858 PECOS PAC ID: 4587902374 Enrollment ID: I20190221001270 |
| Provider Name | Rachael Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427485952 PECOS PAC ID: 7315287281 Enrollment ID: I20190313001062 |
| Provider Name | Helen Okorie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033694922 PECOS PAC ID: 9537400338 Enrollment ID: I20190404000276 |
| Provider Name | Comfort O Lacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497221162 PECOS PAC ID: 6507107364 Enrollment ID: I20190404002810 |
| Provider Name | Foluke I Omoyeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366985798 PECOS PAC ID: 4486938404 Enrollment ID: I20190408001734 |
| Provider Name | Lisabeth N Morrisroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508336918 PECOS PAC ID: 6305187980 Enrollment ID: I20190409000326 |
| Provider Name | Chau Minh Ha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447735923 PECOS PAC ID: 1850632233 Enrollment ID: I20190411002587 |
| Provider Name | Marci E Balonick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285193995 PECOS PAC ID: 1153662481 Enrollment ID: I20190412002176 |
| Provider Name | Elsie Farough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790253268 PECOS PAC ID: 1759623895 Enrollment ID: I20190422000691 |
| Provider Name | Eileen Harte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104341221 PECOS PAC ID: 5294077376 Enrollment ID: I20190422002446 |
| Provider Name | Kaitlyn A Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134680622 PECOS PAC ID: 8325380249 Enrollment ID: I20190425000408 |
| Provider Name | Lynn Kropp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811496821 PECOS PAC ID: 0345582912 Enrollment ID: I20190501000011 |
| Provider Name | Christine Ann Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891905956 PECOS PAC ID: 3577805092 Enrollment ID: I20190503000312 |
| Provider Name | Stephani V Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376007393 PECOS PAC ID: 8729320189 Enrollment ID: I20190503002381 |
| Provider Name | Desiree Michelle Provax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942760962 PECOS PAC ID: 8022350289 Enrollment ID: I20190508002712 |
| Provider Name | Kimberly H Harsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437555653 PECOS PAC ID: 7113247651 Enrollment ID: I20190509002191 |
| Provider Name | Edna M Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982145967 PECOS PAC ID: 7012250996 Enrollment ID: I20190516000591 |
| Provider Name | Falguni Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356904320 PECOS PAC ID: 0042553992 Enrollment ID: I20190517000062 |
| Provider Name | Mikhail Shulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396309548 PECOS PAC ID: 3971846759 Enrollment ID: I20190517001665 |
| Provider Name | Sherilynn M Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619439106 PECOS PAC ID: 9537402284 Enrollment ID: I20190520002533 |
| Provider Name | Theresa Sheahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871023341 PECOS PAC ID: 4082989330 Enrollment ID: I20190523000165 |
| Provider Name | Goma Sedai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407310204 PECOS PAC ID: 1557694122 Enrollment ID: I20190613001293 |
| Provider Name | Cynthia Mckinzie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528628484 PECOS PAC ID: 7618201260 Enrollment ID: I20190702000324 |
| Provider Name | Chinnu Varkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114418803 PECOS PAC ID: 8527394121 Enrollment ID: I20190719000082 |
| Provider Name | Vivian Ebel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588221345 PECOS PAC ID: 4385970318 Enrollment ID: I20190729001052 |
| Provider Name | Saiyd Joyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003478967 PECOS PAC ID: 7012245269 Enrollment ID: I20190826002339 |
| Provider Name | Jessica Van Slyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912553124 PECOS PAC ID: 5496084808 Enrollment ID: I20190910003952 |
| Provider Name | Mobina I Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386291797 PECOS PAC ID: 2264762897 Enrollment ID: I20190925001587 |
| Provider Name | Jocelyn Arackal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861044588 PECOS PAC ID: 1355671561 Enrollment ID: I20191001000314 |
| Provider Name | Jessica Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053966606 PECOS PAC ID: 9931439155 Enrollment ID: I20191001000939 |
| Provider Name | Mary Rothwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770134371 PECOS PAC ID: 7012249196 Enrollment ID: I20191022001844 |
| Provider Name | Brianna M Wicinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508415951 PECOS PAC ID: 7214269158 Enrollment ID: I20191028000203 |
| Provider Name | Rena Chaya Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073154688 PECOS PAC ID: 5193057677 Enrollment ID: I20191102000148 |
| Provider Name | Reba Elizabeth Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013566892 PECOS PAC ID: 5294167599 Enrollment ID: I20191106003370 |
| Provider Name | Dennis Kelly O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760026231 PECOS PAC ID: 1759713084 Enrollment ID: I20191107000762 |
| Provider Name | Joseph M Morie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598308090 PECOS PAC ID: 3274965082 Enrollment ID: I20191118000252 |
| Provider Name | Angela Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699310201 PECOS PAC ID: 5890127492 Enrollment ID: I20191120002349 |
| Provider Name | Adina I Urs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841831344 PECOS PAC ID: 8628400124 Enrollment ID: I20191122000227 |
| Provider Name | Yana Mazya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165880 PECOS PAC ID: 9830522234 Enrollment ID: I20191125001860 |
| Provider Name | Niketa Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659913200 PECOS PAC ID: 6406289941 Enrollment ID: I20191213001726 |
| Provider Name | Skaiste Tarnauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437796133 PECOS PAC ID: 6406280890 Enrollment ID: I20191217002711 |
| Provider Name | Melanie Trenkler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790322709 PECOS PAC ID: 2466886338 Enrollment ID: I20191231000889 |
| Provider Name | Sarah Lillian Razo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063059897 PECOS PAC ID: 4284068909 Enrollment ID: I20200106000018 |
| Provider Name | Mia Donoghue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588200034 PECOS PAC ID: 5799119392 Enrollment ID: I20200107000040 |
| Provider Name | Rachel E Meriwether |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194369223 PECOS PAC ID: 3173958782 Enrollment ID: I20200108001433 |
| Provider Name | Hannah Trobe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942844881 PECOS PAC ID: 9032544531 Enrollment ID: I20200110000023 |
| Provider Name | Karla Guiab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336792738 PECOS PAC ID: 1759716012 Enrollment ID: I20200114001842 |
| Provider Name | Damaso Allen Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639443138 PECOS PAC ID: 6901233519 Enrollment ID: I20200220001407 |
| Provider Name | Melissa Nancy Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740830777 PECOS PAC ID: 7810325214 Enrollment ID: I20200318001624 |
| Provider Name | Kirsten Refvik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003440769 PECOS PAC ID: 5991048126 Enrollment ID: I20200319002817 |
| Provider Name | Andrew Zapke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497295992 PECOS PAC ID: 4183052491 Enrollment ID: I20200320000932 |
| Provider Name | Ross Mamaril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043845027 PECOS PAC ID: 6002244159 Enrollment ID: I20200324000620 |
| Provider Name | Lila Macalinga Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518506625 PECOS PAC ID: 6800226564 Enrollment ID: I20200420002600 |
| Provider Name | Teresa Poprawski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861611345 PECOS PAC ID: 5496847063 Enrollment ID: I20200507000603 |
| Provider Name | Julie Lefere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316418080 PECOS PAC ID: 4981942695 Enrollment ID: I20200603001163 |
| Provider Name | Tracy A Lanier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417228560 PECOS PAC ID: 7315368958 Enrollment ID: I20200605001958 |
| Provider Name | Nehal K Sheth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356862460 PECOS PAC ID: 3678998382 Enrollment ID: I20200728004009 |
| Provider Name | Olubukola E Shodiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104456961 PECOS PAC ID: 9436574969 Enrollment ID: I20200731000303 |
| Provider Name | Raquel Rocha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861025082 PECOS PAC ID: 7517382674 Enrollment ID: I20200806000843 |
| Provider Name | Benjamin Scott Hulfachor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134738800 PECOS PAC ID: 2961827928 Enrollment ID: I20200807001046 |
| Provider Name | Jenna Marie Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609492214 PECOS PAC ID: 9133545882 Enrollment ID: I20200812002686 |
| Provider Name | Jane Vaysberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700400017 PECOS PAC ID: 8123445814 Enrollment ID: I20200826001592 |
| Provider Name | Marilou Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598308785 PECOS PAC ID: 1355768821 Enrollment ID: I20200828000995 |
| Provider Name | Jodi M Fourt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053662445 PECOS PAC ID: 5294153110 Enrollment ID: I20200909002063 |
| Provider Name | Gayle Saturday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699783803 PECOS PAC ID: 2567880768 Enrollment ID: I20200921002518 |
| Provider Name | Izolda Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083222368 PECOS PAC ID: 8820417181 Enrollment ID: I20201006001643 |
| Provider Name | Paige C. Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053951855 PECOS PAC ID: 0941629190 Enrollment ID: I20201007002332 |
| Provider Name | Katherine Cartina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740891209 PECOS PAC ID: 7012336266 Enrollment ID: I20201007002450 |
| Provider Name | Isoken Franca Ogbomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275049694 PECOS PAC ID: 7416367636 Enrollment ID: I20201029000888 |
| Provider Name | Ugonwa Gloria Izuegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750903159 PECOS PAC ID: 9032529565 Enrollment ID: I20201111002406 |
| Provider Name | Claudyn Eguia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790301331 PECOS PAC ID: 5092939439 Enrollment ID: I20201112002747 |
| Provider Name | Joan M Paradis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851758569 PECOS PAC ID: 1355752312 Enrollment ID: I20201123001615 |
| Provider Name | Karen Chandler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497362206 PECOS PAC ID: 9335550177 Enrollment ID: I20201130000650 |
| Provider Name | Ashley Lucknise Descorbeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770199051 PECOS PAC ID: 2860803434 Enrollment ID: I20201203000523 |
| Provider Name | Benjamin Severance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902178379 PECOS PAC ID: 7012328529 Enrollment ID: I20201203003110 |
| Provider Name | Pamela Hollis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346432374 PECOS PAC ID: 8628221116 Enrollment ID: I20201208001697 |
| Provider Name | Lauren Brunetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104426212 PECOS PAC ID: 4587076740 Enrollment ID: I20201211000044 |
| Provider Name | Taylor J Underwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184235541 PECOS PAC ID: 8921410176 Enrollment ID: I20201214000809 |
| Provider Name | Rachel Jaynu Nimely-scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366092975 PECOS PAC ID: 4385056472 Enrollment ID: I20201214002904 |
| Provider Name | Emmanuel Annang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336742568 PECOS PAC ID: 3971916511 Enrollment ID: I20201229000328 |
| Provider Name | Carri Amador |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235735523 PECOS PAC ID: 0941613863 Enrollment ID: I20210113001186 |
| Provider Name | Anne Marie Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558958868 PECOS PAC ID: 1850704529 Enrollment ID: I20210120000036 |
| Provider Name | Reginald Washington Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174124036 PECOS PAC ID: 1153735824 Enrollment ID: I20210121000906 |
| Provider Name | Reena Susan Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639772593 PECOS PAC ID: 2668886276 Enrollment ID: I20210122000020 |
| Provider Name | Wuraola Ojelabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376179614 PECOS PAC ID: 7911311543 Enrollment ID: I20210122000558 |
| Provider Name | Michelle Tan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457956989 PECOS PAC ID: 2961816061 Enrollment ID: I20210202000058 |
| Provider Name | Richard Neal Chin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003457243 PECOS PAC ID: 7810301744 Enrollment ID: I20210203002971 |
| Provider Name | Emily Kitchen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457948903 PECOS PAC ID: 8628483120 Enrollment ID: I20210216000352 |
| Provider Name | Marlon Viloria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912514654 PECOS PAC ID: 1153515598 Enrollment ID: I20210218001249 |
| Provider Name | Tiffany Danielle Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619567492 PECOS PAC ID: 7012322241 Enrollment ID: I20210219001351 |
| Provider Name | Kelly Jo Erke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891358222 PECOS PAC ID: 5890100945 Enrollment ID: I20210223001257 |
| Provider Name | Joseph Andrew Oleck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518461680 PECOS PAC ID: 3779813175 Enrollment ID: I20210305001267 |
| Provider Name | Mojisola Akinfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497369672 PECOS PAC ID: 9436565074 Enrollment ID: I20210308000432 |
| Provider Name | Nathan Cordero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235734575 PECOS PAC ID: 3072920990 Enrollment ID: I20210322000142 |
| Provider Name | Cora Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912524703 PECOS PAC ID: 5496162281 Enrollment ID: I20210323001023 |
| Provider Name | May Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942838578 PECOS PAC ID: 5496162950 Enrollment ID: I20210329002229 |
| Provider Name | Elizabeth Loerop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093301889 PECOS PAC ID: 3577970896 Enrollment ID: I20210401001001 |
| Provider Name | Marc Alcantara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710576657 PECOS PAC ID: 4486061512 Enrollment ID: I20210407002105 |
| Provider Name | Elizabeth Macias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366965949 PECOS PAC ID: 8527476571 Enrollment ID: I20210413000867 |
| Provider Name | Tara Lynn Barnes-cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104424068 PECOS PAC ID: 7113335977 Enrollment ID: I20210415000303 |
| Provider Name | Jose Antonio Centeno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952975179 PECOS PAC ID: 5294134052 Enrollment ID: I20210527000621 |
| Provider Name | Chanelle Christine Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457986929 PECOS PAC ID: 3971902594 Enrollment ID: I20210601001428 |
| Provider Name | Lisa Vanerden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780259473 PECOS PAC ID: 3375943798 Enrollment ID: I20210607001479 |
| Provider Name | Sharvi M Mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285212431 PECOS PAC ID: 7113327974 Enrollment ID: I20210616000108 |
| Provider Name | Djuan Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255907671 PECOS PAC ID: 2466852124 Enrollment ID: I20210617000141 |
| Provider Name | Valerie Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689703597 PECOS PAC ID: 1951703750 Enrollment ID: I20210716000260 |
| Provider Name | Andrea Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750894747 PECOS PAC ID: 0446654099 Enrollment ID: I20210804003352 |
| Provider Name | Ruby Kapoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922671924 PECOS PAC ID: 5890191704 Enrollment ID: I20210901000556 |
| Provider Name | Jacquelyn Aron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942873112 PECOS PAC ID: 4486050168 Enrollment ID: I20210903000906 |
| Provider Name | Amaechi Ohaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851979538 PECOS PAC ID: 0840697512 Enrollment ID: I20210922002467 |
| Provider Name | Svetlana Jardan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205480258 PECOS PAC ID: 7315344504 Enrollment ID: I20211001000008 |
| Provider Name | Mikail Bass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568924561 PECOS PAC ID: 5799183620 Enrollment ID: I20211007001683 |
| Provider Name | Farzaneh Moh Entezari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770177172 PECOS PAC ID: 9234537564 Enrollment ID: I20211018000762 |
| Provider Name | Karen Michelle Hill-davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063182988 PECOS PAC ID: 6406244581 Enrollment ID: I20211021002176 |
| Provider Name | Olesia P Galanesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144818071 PECOS PAC ID: 9537557640 Enrollment ID: I20211022000036 |
| Provider Name | Gianina Paola Estocado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760158109 PECOS PAC ID: 5799173829 Enrollment ID: I20211022001012 |
| Provider Name | Isabel Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487286886 PECOS PAC ID: 4385052208 Enrollment ID: I20211118000977 |
| Provider Name | Joslyn Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326612136 PECOS PAC ID: 9335539402 Enrollment ID: I20211203000538 |
| Provider Name | Zubair Badmus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457017352 PECOS PAC ID: 3173913290 Enrollment ID: I20211204000281 |
| Provider Name | Kenneth Chubinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275290264 PECOS PAC ID: 7618367731 Enrollment ID: I20211204000297 |
| Provider Name | Stephanie Kujawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245722008 PECOS PAC ID: 6406247378 Enrollment ID: I20220104000513 |
| Provider Name | Dina L Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699335018 PECOS PAC ID: 2860883576 Enrollment ID: I20220106000652 |
| Provider Name | Tanya Arganosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134701444 PECOS PAC ID: 3779975206 Enrollment ID: I20220113000935 |
| Provider Name | Anna Rybak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245999747 PECOS PAC ID: 7315330909 Enrollment ID: I20220202002858 |
| Provider Name | Oluwakemi Edoigiawerie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699439752 PECOS PAC ID: 7911154059 Enrollment ID: I20220211001383 |
| Provider Name | Edwina Rochelle Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962026625 PECOS PAC ID: 0840684544 Enrollment ID: I20220223000630 |
| Provider Name | Sharelle Mershon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447910179 PECOS PAC ID: 5294129383 Enrollment ID: I20220307002126 |
| Provider Name | Omolara Aminat Oshokoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164182150 PECOS PAC ID: 3476948357 Enrollment ID: I20220310001897 |
| Provider Name | Suliat Y Oluwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558014456 PECOS PAC ID: 3779978663 Enrollment ID: I20220310002253 |
| Provider Name | Karl Roi Fontelo Calingacion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598410375 PECOS PAC ID: 4789079450 Enrollment ID: I20220315002347 |
| Provider Name | Roselle Chan Yu-isiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871241067 PECOS PAC ID: 1557758778 Enrollment ID: I20220418001626 |
| Provider Name | Cheryl George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730839473 PECOS PAC ID: 7416334396 Enrollment ID: I20220514000319 |
| Provider Name | Monika Gutkowska |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194127852 PECOS PAC ID: 3072990639 Enrollment ID: I20220519002570 |
| Provider Name | Cindy Oblenida Pangilinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750920427 PECOS PAC ID: 1456788140 Enrollment ID: I20220525002279 |
| Provider Name | Katleen Tiongson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538804364 PECOS PAC ID: 4688052350 Enrollment ID: I20220608002370 |
| Provider Name | Oyeyemi Anthony Shodiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841946944 PECOS PAC ID: 2961882527 Enrollment ID: I20220629002129 |
| Provider Name | Seth Gruenwald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447651427 PECOS PAC ID: 4284014846 Enrollment ID: I20220629002317 |
| Provider Name | Tamika Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023690161 PECOS PAC ID: 7911389929 Enrollment ID: I20220806000702 |
| Provider Name | Oluwakemi Opeoluwa Adeyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508481516 PECOS PAC ID: 0840672721 Enrollment ID: I20220809003201 |
| Provider Name | Kaylee Lynne Tanjic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689311805 PECOS PAC ID: 8426431388 Enrollment ID: I20220810002992 |
| Provider Name | Danielle Leiba Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902204704 PECOS PAC ID: 1759764053 Enrollment ID: I20220819000469 |
| Provider Name | Brian S Vandine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750018016 PECOS PAC ID: 8820472103 Enrollment ID: I20220906001734 |
| Provider Name | Tracy A Diehl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013662881 PECOS PAC ID: 0941684138 Enrollment ID: I20220907003484 |
| Provider Name | Sabrina Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285361923 PECOS PAC ID: 6305221946 Enrollment ID: I20220916002434 |
| Provider Name | Tiffany Quiana Theus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366197766 PECOS PAC ID: 6608251145 Enrollment ID: I20220919002978 |
| Provider Name | Vanessa Lauren Roof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063133429 PECOS PAC ID: 1456727346 Enrollment ID: I20221018001216 |
| Provider Name | Julio Cesar Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427786706 PECOS PAC ID: 2668848219 Enrollment ID: I20221021002491 |
| Provider Name | Brandynne Marie Fry Allgaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477225993 PECOS PAC ID: 9537535125 Enrollment ID: I20221024000980 |
| Provider Name | Gabriel Vincente Alcantara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871102509 PECOS PAC ID: 6406223833 Enrollment ID: I20221027002493 |
| Provider Name | Stacey Martin Feeley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205500725 PECOS PAC ID: 1557738812 Enrollment ID: I20221031001518 |
| Provider Name | Carly Britt Moseberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356069207 PECOS PAC ID: 2163899154 Enrollment ID: I20221103002616 |
| Provider Name | Kimberly Raye Barker- Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639794084 PECOS PAC ID: 4082081831 Enrollment ID: I20221108000106 |
| Provider Name | Hannah Rosenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336863034 PECOS PAC ID: 6608243456 Enrollment ID: I20221108000190 |
| Provider Name | Erika Mikala Zenchak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407389968 PECOS PAC ID: 8426427691 Enrollment ID: I20221209001092 |
| Provider Name | Jennifer Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427729441 PECOS PAC ID: 4880063783 Enrollment ID: I20221215003177 |
| Provider Name | Jolene Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700182466 PECOS PAC ID: 5193963916 Enrollment ID: I20221216001872 |
| Provider Name | Krista Lynn Ewers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477217586 PECOS PAC ID: 7517336258 Enrollment ID: I20221220000244 |
| Provider Name | Michelle A Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316657752 PECOS PAC ID: 3971973579 Enrollment ID: I20221222001633 |
| Provider Name | Jude Udagwua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982313318 PECOS PAC ID: 9739559386 Enrollment ID: I20221223000886 |
| Provider Name | Rachel Marie Starke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548971674 PECOS PAC ID: 1658742358 Enrollment ID: I20230117000820 |
| Provider Name | Ryan Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831800473 PECOS PAC ID: 0345611869 Enrollment ID: I20230120000811 |
| Provider Name | Maria Lynn Osmanski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972216901 PECOS PAC ID: 4688045974 Enrollment ID: I20230124003479 |
| Provider Name | Jun Li |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740986249 PECOS PAC ID: 5496129546 Enrollment ID: I20230313002375 |
| Provider Name | Barbara Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477024321 PECOS PAC ID: 9537534573 Enrollment ID: I20230405001765 |
| Provider Name | Kathryn Tite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093423832 PECOS PAC ID: 2365807021 Enrollment ID: I20230502001511 |
| Provider Name | Bianca Jennifer Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194413385 PECOS PAC ID: 6608232707 Enrollment ID: I20230516001128 |
| Provider Name | Brian Froelich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255768941 PECOS PAC ID: 9739545849 Enrollment ID: I20230516001409 |
| Provider Name | Olubunmi Victoria Ibitola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356086441 PECOS PAC ID: 0840656971 Enrollment ID: I20230516002324 |
| Provider Name | James Bolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841681582 PECOS PAC ID: 7517323389 Enrollment ID: I20230521000112 |
| Provider Name | Danielle Ann Czajkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265125611 PECOS PAC ID: 8325406689 Enrollment ID: I20230617000242 |
| Provider Name | Tesfamariam Kefle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225403652 PECOS PAC ID: 0345600052 Enrollment ID: I20230713000263 |
| Provider Name | Pardeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467130369 PECOS PAC ID: 7113388810 Enrollment ID: I20230727002549 |
| Provider Name | Megan Wrenn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609488634 PECOS PAC ID: 1850754813 Enrollment ID: I20230824001380 |
| Provider Name | Kara Hogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679359061 PECOS PAC ID: 7911361407 Enrollment ID: I20230918000821 |
| Provider Name | Augustine A Atem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265135636 PECOS PAC ID: 6800240367 Enrollment ID: I20231002003529 |
| Provider Name | Kristin Grace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356323620 PECOS PAC ID: 4284807280 Enrollment ID: I20231016002356 |
| Provider Name | Kristen Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386005577 PECOS PAC ID: 5698124154 Enrollment ID: I20231208001260 |
| Provider Name | Ibrahim Olawale Sulaiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649052184 PECOS PAC ID: 1355791187 Enrollment ID: I20231220001265 |
| Provider Name | Brenda Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699484162 PECOS PAC ID: 0345615373 Enrollment ID: I20240103001323 |
| Provider Name | Api Ngonuh Mudoh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063868628 PECOS PAC ID: 1759731722 Enrollment ID: I20240103002346 |
| Provider Name | Elizabeth Pulido |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750957528 PECOS PAC ID: 3577916550 Enrollment ID: I20240125003072 |
| Provider Name | Melodi Hickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871057844 PECOS PAC ID: 5890148373 Enrollment ID: I20240131004019 |
| Provider Name | Arisdelsi Cervantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972235828 PECOS PAC ID: 9436593043 Enrollment ID: I20240221003595 |
| Provider Name | Brandie Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265182760 PECOS PAC ID: 9638514474 Enrollment ID: I20240301003360 |
| Provider Name | David Jay Fish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205983475 PECOS PAC ID: 9436594272 Enrollment ID: I20240301003454 |
| Provider Name | Babajide Idowu Adeleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457121246 PECOS PAC ID: 5597100339 Enrollment ID: I20240301003518 |
| Provider Name | Tonya E Battle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235515289 PECOS PAC ID: 8527404821 Enrollment ID: I20240308002305 |
| Provider Name | Kimberly Marie Weber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720844368 PECOS PAC ID: 6901242817 Enrollment ID: I20240314001270 |
Abby Robinson Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10024 Skokie Blvd Ste 202, Skokie, IL 60077 Phone: 615-319-2076 | |
Heidi Hamernik, Ph.d. P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8707 Skokie Blvd., Ste. 210, Skokie, IL 60077 Phone: 847-763-9167 Fax: 847-763-1301 | |
Flexpath Psychology Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9711 Skokie Blvd Ste H, Skokie, IL 60077 Phone: 872-225-2336 | |
Eitan Schwarz, Md, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Old Orchard #606, Skokie, IL 60077 Phone: 847-675-5393 | |
Curry Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10024 Skokie Blvd Ste 211, Skokie, IL 60077 Phone: 312-919-0002 Fax: 224-233-1011 | |
Daniel M. Haycraft Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Old Orchard Rd, Suite 34, Skokie, IL 60077 Phone: 847-581-1890 Fax: 847-581-1895 | |
Riley Psychological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4711 Golf Rd Ste 400, Skokie, IL 60076 Phone: 312-783-3348 Fax: 773-751-2250 |